E D ATTAYA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047406207

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

ATTAYA

Suffix

Business Name

E D ATTAYA OD

Original Issue Date

11/03/1977

Expiration Date

01/01/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005